87y · Male·aspiration pneumonia, urinary tract infection and general inanition complicating…
Graham Pemberton, 87 years old with advanced Alzheimer's dementia, died of aspiration pneumonia, urinary tract infection, and general inanition. He was admitted to hospital multiple times in 2015 with behaviour…
96y · Male·hospital acquired pneumonia on a background of advanced Alzheimer's dementia
…ealth Act Inpatient Treatment Order due to behavioural concerns. During his 8-day admission, he developed urinary retention managed with catheterisation, pneumonia identified on chest X-ray, and subsequently renal failu…
38y · Male·Urosepsis
…esidential facility on 28 March 2009. He had a permanent suprapubic catheter inserted in 2008 for chronic urinary retention and had experienced ongoing problems with catheter dysfunction and leakage. On 28 March, after …
84y · Male·Complications of gout and old spinal injury, cause unknown
…pinal cord injury, renal impairment, cardiac failure) presented with chest infection, abdominal pain, and urinary retention. He was treated with intravenous antibiotics for suspected overwhelming sepsis. Despite appropr…
80y · Male·asphyxia due to choking on food
…choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poor compliance off medications. Clinical deter…
64y · Male·Large pulmonary embolus (origin undetermined)
…on District Hospital following a complex admission involving psychiatric depression, atrial fibrillation, urinary retention, and multiple comorbidities. The coroner identified significant system failures: warfarin was r…
78y · Male·urinary tract infection in a man with dementia and epilepsy
William Morrison Nunan, a 78-year-old man with intellectual disability, dementia, epilepsy, and chronic urinary tract infections managed with a suprapubic catheter, died of urosepsis at a hospice after admission for e…
96y · Male·general inanition on a background of advanced dementia, chronic congestive cardi…
…, chronic congestive cardiac failure and pneumonia at Repatriation General Hospital. He was admitted with urinary retention, acute renal failure, delirium and pneumonia. During his admission he experienced multiple fall…
75y · Male·Multi-organ failure due to sepsis secondary to hospital-acquired pneumonia
…de Hospital with cerebrovascular accident and white matter disease, subsequently developed urosepsis from urinary retention, then hospital-acquired pneumonia. The coroner found no concerns about the standard of treatmen…
63y · Female·Aspiration of gastric contents and acute renal failure complicating intestinal p…
Pamela Bell, a 63-year-old woman with intellectual disability, epilepsy treated with carbamazepine, and chronic hyponatraemia, died from aspiration of gastric contents and acute renal failure complicating intestinal pseu…
86y · Male·Sepsis with septic shock, due to urinary tract infection, pyelonephritis (kidney…
An 86-year-old man died from sepsis and septic shock secondary to urinary tract infection, pyelonephritis and prostatic infection. He presented to his GP in March 2015 with dizzin…
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
…ns, and sleep disturbance, prompting hospital admission. During his one-month hospital stay, he developed urinary retention, poor oral intake, decreased mobility, and regularly refused care. On 1 February, he had a hypo…
58y · Male·complications of large bowel pseudo-obstruction
…ry, with minimal documentation and no appreciation of his high-risk status. No consideration was given to urinary retention (present on imaging), repeat imaging to confirm improvement, or operative intervention. Key cli…
80y · Male·inanition complicating end stage dementia
…e to progressive dementia. During hospitalisation he experienced multiple medical complications including urinary retention requiring catheterisation, swallowing difficulties, and a pulmonary embolism. A palliative appr…
57y · Male·Type 2 respiratory failure secondary to aspiration pneumonia
A 57-year-old man with Down syndrome, dementia, and a history of aspiration pneumonia died from type 2 respiratory failure secondary to aspiration pneumonia. He had been in Department of Human Services residential care a…
60y · Male·Respiratory obstruction (choking by food)
…a mental health inpatient unit. He had been admitted for management of clozapine-induced constipation and urinary retention following behavioural disturbance. His mumbling and slurred speech, which concerned his sister,…
58y · Female·Enterococcus faecalis sepsis and acute renal failure
…lis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urinary retention post-ileostomy surgery and was treated empirically for UTI with trimethoprim and discharged. On…
33y · Male·Marburg variant of multiple sclerosis
…om Marburg variant multiple sclerosis after rapid neurological deterioration. He initially presented with urinary retention on 1 December 2022, which was appropriately investigated. When acute neurological symptoms emer…
52y · Female·Renal Failure Complicating Urosepsis in a Woman with Down Syndrome (Palliated)
…syndrome, chronic renal failure, and requiring permanent catheterisation, developed urosepsis following a urinary tract infection. She presented with back pain, fever, and hypotension on 9 May 2012, was seen by locum do…
55y · Female·Aspiration pneumonia in a woman with cerebral palsy (spastic quadriparesis)
… January. She was discharged on 18 January and readmitted on 20 January with lethargy, shallow breathing, urinary retention and renal dysfunction. She was transferred to Wantirna Hospital on a palliative pathway and die…
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